| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $39.79 | $62.61 | $149.41 | |
Cigna
| Professional | $21.69 | $27.27 | $34.29 | |
Health Partners
| Facility | $33.95 | $56.78 | $117.65 | |
Health Partners
| Professional | $21.48 | $21.48 | $33.95 | |
Medica
| Facility | $9.32 | $27.45 | $90.00 |